Deck 7: Management

Question 1

In most situations, the surgical suite is maintained as a positive pressure room. What is the pattern of air circulation for this type of room?

A)The flow of air moves out of the room, preventing outside air from entering.
B)The flow of air stays in the room, preventing inside air from exiting.
C)The flow of air is recycled through an isolated ventilation chamber.
D)Air in the room remains stagnant until the procedure is complete, when it flows into an isolated decontamination chamber.

Answer 1

The flow of air moves out of the room, preventing outside air from entering.

Question 2

Which of the following tasks can the registered nurse delegate to a certified nursing assistant to do?

A)Provide the surgical patient with preoperative teaching.
B)Assist the patient with preoperative skin preparation by showering with antimicrobial soap.
C)Assess the patient's neurological status while in the post-anesthesia care unit.
D)Both B and C

Answer 2

Assist the patient with preoperative skin preparation by showering with antimicrobial soap.

Question 3

The nurse is aware that their hospital has a policy that allows nursing aides to remove intravenous lines while on the surgical unit. The nurse delegates this task to the aide and the intravenous catheter is removed incorrectly. Who is responsible for this mistake?

A)The hospital, because the policy allowed the procedure.
B)The nurse, because they supervised the procedure.
C)The aide, because they performed the procedure.
D)Both B and C

Answer 3

The nurse, because they supervised the procedure.

Question 4

What is the purpose of bumper guards found on the walls of the surgical area?

A)To prevent the patient in pain from being jolted if the bed runs into a wall.
B)To protect the bed from becoming damaged while transporting patients.
C)To protect the walls from damage if beds or equipment run into them.
D)To protect the staff if they slip on a wet floor.

Question 5

How are floors within operating suites designed to protect nurses and staff during surgical procedures?

A)They have non-slip surfaces to reduce the incidence of falls.
B)They contain wicking materials that move excess moisture away from the location where a person is standing.
C)They contain protective coverings that allow for extra cushioning for those who must stand for long periods of time.
D)Both A and C

Question 6

While assisting in a surgical procedure, a perioperative nurse pours saline into a sterile bowl. She inadvertently drops the bottle on the floor, spilling liquid beneath the instrument table. What is the most appropriate response in this situation?

A)Step around the liquid and tell others to avoid the area until the procedure is complete.
B)Dry the wet floor as much as possible without contaminating themself and notify staff of the damp area.
C)Call housekeeping to come in and clean the floor immediately.
D)Move the instrument table to the other side of the patient's bed and cordon off the wet area.

Question 7

According to the AORN, which of the following items is not considered regulated medical waste?

A)Animal waste
B)Blood products
C)Patient clothing
D)Sharps

Question 8

Which of the following practices is necessary in order to protect surgical staff from overexposure to radiation?

A)Wear lead gloves and aprons when assisting patients who are receiving x-rays.
B)Store leaded garments to protect their integrity, such as by folding aprons and stacking protective glasses.
C)Require regular radiation safety testing from surgeons on an annual basis.
D)Both A and C

Question 9

All of the following items should be included as part of a latex allergy cart to reduce the exposure to latex for a sensitive patient EXCEPT:

A)Stethoscope
B)Bed sheets
C)IV tubing
D)Gloves

Question 10

During surgery, a patient receives two units of packed cells, but the surgeon states that they will need more. How should the nurse handle this situation?

A)Prepare the blood warmer to warm the additional units of blood before the transfusion.
B)Call the Blood Bank and tell them the patient needs to be tested for a type and crossmatch.
C)Call the Blood Bank and tell them to send one more unit of O+ blood, from a universal donor.
D)Both A and B

Question 11

Which of the following types of insufflators should be considered when creating a pneumoperitoneum for a laparoscopic procedure?

A)An insufflator that delivers a flow rate of 6L/min
B)An insufflator with a one-way filter in the tubing
C)An insufflator that alarms when too much CO2 has been administered
D)Both A and B

Question 12

What actions must the nurse consider when working near surgical smoke that occurs during laser use?

A)Wear sterile gloves and use aseptic technique when changing the filter.
B)Wear a standard surgical mask at all times whenever working near laser smoke.
C)Use a suction valve to remove smoke while maintaining the pneumoperitoneum.
D)Both A and C

Question 13

What is purpose of using the cell saver during a surgical procedure?

A)To restore tissue destruction from electrocautery.
B)To wash the patient's blood and return red blood cells for autotransfusion.
C)To promote white blood cell proliferation to reduce the risk of infection.
D)To filter collected fluid and drainage to return to the patient to improve volume.

Question 14

Which of the following actions must the nurse consider when working with a pneumatic tourniquet cuff?

A)To obtain the most accurate results, place the cuff directly onto the patient's skin.
B)The surgeon should verify the position of the cuff before use.
C)Document the location, time of inflation and time of deflation of the cuff.
D)Both B and C

Question 15

When preparing to move a patient from the operating table onto a transport gurney, which types of body mechanics are essential to prevent injury to the patient and team members?

A)Utilize as many people as possible in the transfer and lift using the arms and back.
B)Communicate plans for movement between team members and use the legs to bear much of the weight.
C)Plant the feet before moving and move the patient in a twisting motion with the upper body.
D)When possible, roll the patient over to move them onto the gurney.

Question 16

When preparing to assist a patient with walking for the first time after surgery, which of the following is not a factor to be considered when planning to provide help?

A)The size of the room
B)The weight of the patient
C)The amount of time needed
D)The availability of assistive devices

Question 17

A patient has been diagnosed with an infectious disease during the postoperative period of recovery and needs to stay in an isolation room. Which of the following nursing interventions are appropriate for working in this situation?

A)Place an isolation sign on the door with the patient's diagnosis to alert others to take precautions.
B)Keep a cart with isolation supplies, such as masks and gowns, just inside the patient's room near the bathroom.
C)Maintain ample amounts of towels and linens within the room for the patient.
D)Keep supplies needed for the patient's incision care away from the room and in safe location.

Question 18

What is the rationale for milking the tubing of a chest tube drainage system?

A)To assess for proper seal and prevent air from entering the chest.
B)To remove excess clots or debris.
C)To prevent bleeding or increased fluid output into the chamber.
D)Milking the tubing is not an appropriate intervention.

Question 19

When preparing to apply oxygen via nasal cannula to a patient for low saturations, what is the order of connecting the components from the oxygen source in the wall to the patient?

A)Flow meter, humidifier, tubing, connector, patient
B)Flow meter, connector, humidifier, tubing, patient
C)Humidifier, flow meter, connector, tubing, patient
D)Connector, flow meter, humidifier, tubing, patient

Question 20

How does an oral airway work?

A)It holds the tongue out of the way to help the patient to breathe.
B)It is connected to oxygen to deliver greater concentrations.
C)It is used during surgery to deliver oxygen and anesthesia.
D)Both A and B